A Case of Bilateral Macular Hole Caused by High-Tension Electric Current.

Lim, Byung Oh; Park, Tae Yong; Yu, Young Suk

Case Report

Journal of the Korean Ophthalmological Society 1986;27(4):675-680.
Published online April 1, 1986.

A Case of Bilateral Macular Hole Caused by High-Tension Electric Current.

Byung Oh Lim, Tae Yong Park, Young Suk Yu

Department of Ophthalmology, Capital Armed Forces General Hospital, Seoul, Korea.

전기적 외상에 의한 황반부 원공 1예

유영석(Young Suk Yoo),임병오(Byung Oh Lim),박태용(Tae Yong Park)

Abstract

A twenty-three year old korean officer was exposed accidentally to high-tension electric current(22,900 voltage). He lost consciousness for about three days. The point of entry was the palm area of the right hand and the point of exit was the lateral area of the right thigh. He sustained second and third degree burn on the exposed area and face, neck, anterior chest, abdomen, right thigh. He subsequently developed yellow-gray foveolar lesion and macular hole, cataract, and iritis with central visual-loss in both eyes. Fluorescein angiography demonstrated the area of retinal pigment epithelial disruption. We suspected that it was electric current induced full-thickness macular hole, not photochemical macular hole, because his companion did not seeing a bright flash light and successively central visual loss.